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1467239590
JASON BLACKLEDGE
DENHAM SPRINGS, LA
NPI
1467239590
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CIT-5595)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
JASON BLACKLEDGE CIT
9171 COCKERHAM RD
DENHAM SPRINGS, LA 70726-2255
Phone number: 255-235-1242
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Mailing Address
JASON BLACKLEDGE CIT
9171 COCKERHAM RD
DENHAM SPRINGS, LA 70726-2255
Phone number: 255-235-1242
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